Emil deteriorates slowly…

Although his opioid toxicity doesn't recur, Emil and his wife notice a gradual but steady deterioration over the next month and are finding it more difficult to cope at home.

Emil has developed some ongoing shortness of breath which has greatly affected his quality of life as well.

You have had ongoing discussions with Emil and his wife as his clinical situation has changed.

After another frank discussion with Emil and his wife, including reviewing his prognosis and his goals of care, Emil decides that he would like to ensure that his code status is changed to "DNR" or "No Code".

He also wonders if it's time to think about moving to a hospice as has been broached with this family earlier in his illness.